Table 4

The performance characteristics of prehospital paediatric trauma triage tools for children. (Range in brackets) = (95% CI)

ToolnISS >15SensitivitySpecificityPositive Predictive ValueNegative Predictive ValuePositive Likelihood RatioNegative Likelihood RatioUnder-triage rate (%)Over-triage rate (%)
East Midlands7012300.97 (0.93 to 0.99)0.17 (0.14 to 0.21)0.36 (0.33 to 0.40)0.91 (0.83 to 0.96)1.17 (1.11 to 1.22)0.20 (0.10 to 0.41)383
London0.96 (0.92 to 0.98)0.28 (0.24 to 0.33)0.39 (0.35 to 0.44)0.93 (0.88 to 0.97)1.33 (1.25 to 1.42)0.15 (0.08 to 0.29)472
North West0.93 (0.89 to 0.96)0.20 (0.17 to 0.24)0.36 (0.32 to 0.40)0.86 (0.78 to 0.92)1.17 (1.10 to 1.24)0.34 (0.21 to 0.57)780
Northern0.91 (0.87 to 0.95)0.23 (0.19 to 0.27)0.37 (0.33 to 0.41)0.85 (0.77 to 0.90)1.19 (1.11 to 1.27)0.38 (0.24 to 0.59)977
South West London; Surrey0.88 (0.83 to 0.92)0.41 (0.37 to 0.46)0.42 (0.38 to 0.47)0.87 (0.82 to 0.91)1.49 (1.36 to 1.63)0.30 (0.21 to 0.43)1259
Wessex0.77 (0.71 to 0.83)0.47 (0.43 to 0.52)0.42 (0.37 to 0.47)0.81 (0.76 to 0.86)1.46 (1.31 to 1.63)0.48 (0.37 to 0.62)2353
Paediatric Trauma Score0.39 (0.33 to 0.46)0.93 (0.91 to 0.96)0.74 (0.66 to 0.82)0.76 (0.72 to 0.79)5.9 (4.08 to 8.66)0.65 (0.59 to 0.73)617
Paediatric Triage Tape283940.36 (0.27 to 0.47)0.84 (0.78 to 0.89)0.53 (0.40 to 0.66)0.73 (0.66 to 0.78)2.28 (1.49 to 3.48)0.76 (0.64 to 0.89)6316
  • ISS, injury severity score.